Cold Emergencies: Difference between revisions
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* If ALS required: support airway, cardiac monitoring, IV, O2 saturation and end-tidal CO2 | * If ALS required: support airway, cardiac monitoring, IV, O2 saturation and end-tidal CO2 | ||
* Refer to [[Analgesia and Sedation|ANALGESIA / SEDATION PRACTICE PARAMETERS]] (2.04). | * Refer to [[Analgesia and Sedation|ANALGESIA / SEDATION PRACTICE PARAMETERS]] (2.04). | ||
**[[ | **[[Morphine_Sulfate|MORPHINE SULFATE]] 2 mg slow IVP, IO or IN every 2 minutes until pain relief achieved Contraindicated if systolic BP <90. IM administration may also be considered. | ||
'''SYSTEMIC HYPOTHERMIA:''' | '''SYSTEMIC HYPOTHERMIA:''' | ||
* Mild / moderate 95-90 degree F. Conscious or altered sensorium with shivering. | * Mild / moderate 95-90 degree F. Conscious or altered sensorium with shivering. | ||
'''[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01):''' | '''[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01):''' | ||
* [[ | * [[Oxygen|OXYGEN]] @ 100% via NRB mask. | ||
* Warm IV fluids using hot packs. | * Warm IV fluids using hot packs. | ||
* Remove wet clothing and protect patient against heat loss and wind chill. | * Remove wet clothing and protect patient against heat loss and wind chill. | ||
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* Refer to Systemic Hypothermia. | * Refer to Systemic Hypothermia. | ||
* Administer no more than 3 defibrillations until re-warmed. | * Administer no more than 3 defibrillations until re-warmed. | ||
[[Category:Medical|0506]] | |||
Latest revision as of 14:30, 24 April 2020
Section 5 -MEDICAL 5.06
COLD EMERGENCIES
FROSTBITE: INITIAL MEDICAL/TRAUMA CARE (2.01/2.02).
- Remove wet garments and move patient to a warm environment ASAP.
- Elevate affected part and cover with loosely applied, dry, sterile dressings.
- If ALS required: support airway, cardiac monitoring, IV, O2 saturation and end-tidal CO2
- Refer to ANALGESIA / SEDATION PRACTICE PARAMETERS (2.04).
- MORPHINE SULFATE 2 mg slow IVP, IO or IN every 2 minutes until pain relief achieved Contraindicated if systolic BP <90. IM administration may also be considered.
SYSTEMIC HYPOTHERMIA:
- Mild / moderate 95-90 degree F. Conscious or altered sensorium with shivering.
INITIAL MEDICAL CARE (2.01):
- OXYGEN @ 100% via NRB mask.
- Warm IV fluids using hot packs.
- Remove wet clothing and protect patient against heat loss and wind chill.
- Place patient in horizontal position avoiding rough movement and excess activity.
- Completely dry patient and cover patient with insulated blanket.
SEVERE SYSTEMIC HYPOTHERMIA:
- Temperature of 90 Degrees F or less.
- Patient may appear uncoordinated with poor muscle control or stiff, simulating rigor mortis.
- There will be NO shivering.
- Sensorium: confused, withdrawn, disoriented, comatose.
INITIAL MEDICAL CARE (2.01):
- OXYGEN @ 100% via NRB mask or assist with BVM.
- DO NOT INTUBATE UNLESS PATIENT IS APNEIC.
- Warm IV tubing and OXYGEN tubing with hot packs.
- Refer to appropriate Practice Parameters.
- Refer to Systemic Hypothermia.
- Administer no more than 3 defibrillations until re-warmed.